Dr JORGE A BUSTILLO is a male medical professional, specializing in General Practice. He graduated in 2005.
CARR 683 KM
SUITE 9
GARROCHALES
PR
00652
Tel: 7878174232
| Npi | 1306032263 |
| Pac Id | 9032208020 |
| Professional Enrollment Id | I20071128000481 |
| Last Name | BUSTILLO |
| First Name | JORGE |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialty 1 | HOSPICE/PALLIATIVE CARE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | HOSPICE/PALLIATIVE CARE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | CARR 683 KM |
| Line 2 Street Address | SUITE 9 |
| Marker Of Address Line 2 Suppression | |
| City | GARROCHALES |
| State | PR |
| Zip Code | 00652 |
| Phone Number | 7878174232 |
| Hospital Affiliation Ccn 1 | 400118 |
| Hospital Affiliation Lbn 1 | DOCTORS' CENTER HOSPITAL, INC |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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